Hepatic Vein-Guided Approach in Laparoscopic Anatomic Liver Resection of the Ventral and Dorsal Parts of Segment 8
Abstract
:1. Introduction
1.1. HVGA
1.2. Laennec’s Capsule around the Hepatic Vein
1.2.1. The Inter-Laennec Approach
1.2.2. The Outer-Laennec Approach
1.2.3. Relationship between the Right Hepatic Vein and Paracaval Branch
1.2.4. Anterior Fissure Vein
2. Operative Procedures
2.1. Liver Resection of the Ventral Part of Segment 8
2.2. Liver Resection of the Dorsal Part of Segment 8
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Okumura, S.; Tabchouri, N.; Leung, U.; Tinguely, P.; Louvet, C.; Beaussier, M.; Gayet, B.; Fuks, D. Laparoscopic parenchymal-sparing hepatectomy for multiple colorectal liver metastases improves outcomes and salvageability: A propensity score-matched analysis. Ann. Surg. Oncol. 2019, 26, 4576–4586. [Google Scholar] [CrossRef] [PubMed]
- Ome, Y.; Honda, G.; Doi, M.; Muto, J.; Seyama, Y. Laparoscopic Anatomic Liver Resection of Segment 8 Using Intrahepatic Glissonean Approach. J. Am. Coll. Surg. 2020, 230, e13–e20. [Google Scholar] [CrossRef]
- Wakabayashi, G.; Cherqui, D.; Geller, D.A.; Abu Hilal, M.; Berardi, G.; Ciria, R.; Abe, Y.; Aoki, T.; Asbun, H.J.; Chan, A.C.Y.; et al. The Tokyo 2020 terminology of liver anatomy and resections: Updates of the Brisbane 2000 system. J. Hepatobiliary Pancreat. Sci. 2022, 29, 6–15. [Google Scholar] [CrossRef]
- Wakabayashi, T.; Benedetti Cacciaguerra, A.; Ciria, R.; Ariizumi, S.; Durán, M.; Golse, N.; Ogiso, S.; Abe, Y.; Aoki, T.; Hatano, E.; et al. Landmarks to identify segmental borders of the liver: A review prepared for PAM-HBP expert consensus meeting 2021. J. Hepatobiliary Pancreat. Sci. 2022, 29, 82–98. [Google Scholar] [CrossRef]
- Gotohda, N.; Cherqui, D.; Geller, D.A.; Abu Hilal, M.; Berardi, G.; Ciria, R.; Abe, Y.; Aoki, T.; Asbun, H.J.; Chan, A.C.Y.; et al. Expert Consensus Guidelines: How to safely perform minimally invasive anatomic liver resection. J. Hepatobiliary Pancreat. Sci. 2022, 29, 16–32. [Google Scholar] [CrossRef]
- Monden, K.; Alconchel, F.; Berardi, G.; Ciria, R.; Akahoshi, K.; Miyasaka, Y.; Urade, T.; García Vázquez, A.; Hasegawa, K.; Honda, G.; et al. Landmarks and techniques to perform minimally invasive liver surgery: A systematic review with a focus on hepatic outflow. J. Hepatobiliary Pancreat. Sci. 2022, 29, 66–81. [Google Scholar] [CrossRef] [PubMed]
- Honda, G.; Ome, Y.; Yoshida, N.; Kawamoto, Y. How to dissect the liver parenchyma: Excavation with cavitron ultrasonic surgical aspirator. J. Hepatobiliary Pancreat. Sci. 2020, 11, 907–912. [Google Scholar] [CrossRef] [PubMed]
- Laennec, R.T.H. Lettre sur des Tuniques qui enveloppent certains Viscères, et fournissentdes gaines membraneuses à leurs vaisseaux, et Germinal an XI. Journ Méd Chir Pharm Vendémiaire XI 1802, 539–575. [Google Scholar]
- Sugioka, A.; Kato, Y.; Tanahashi, Y. Systematic extrahepatic Glissonean pedicle isolation for anatomical liver resection based on Laennec’s capsule: Proposal of a novel comprehensive surgical anatomy of the liver. J. Hepatobiliary Pancreat. Sci. 2017, 24, 17–23. [Google Scholar] [CrossRef]
- Hayashi, S.; Murakami, G.; Ohtsuka, A.; Itoh, M.; Nakano, T.; Fukuzawa, Y. Connective tissue configuration in the human liver hilar region with special reference to the liver capsule and vascular sheath. J. Hepatobiliary Pancreat. Surg. 2008, 15, 640–647. [Google Scholar] [CrossRef] [PubMed]
- Monden, K.; Ohno, K.; Sadamori, H.; Hioki, M.; Ohno, S.; Takakura, N.; Sugioka, A. Histology of the Laennec’s Capsule Around the Hepatic Veins and How it May Guide Approaches to Laparoscopic Anatomic Liver Resection. SGO 2020, 25, 73. [Google Scholar] [CrossRef]
- Kiguchi, G.; Sugioka, A.; Kato, Y.; Uyama, I. Laparoscopic S7 segmentectomy using the inter-Laennec approach for hepatocellular carcinoma near the right hepatic vein. Surg. Oncol. 2019, 31, 132–134. [Google Scholar] [CrossRef] [PubMed]
- Kiguchi, G.; Sugioka, A.; Kato, Y.; Uyama, I. Use of the inter-Laennec approach for laparoscopic anatomical right posterior sectionectomy in semi-prone position. Surg. Oncol. 2019, 29, 140–141. [Google Scholar] [CrossRef]
- Monden, K.; Ohno, K.; Hayashi, S.; Sadamori, H.; Sugioka, A. Hepatic vein anatomy related to Laennec’s capsule for liver resection. J. Hepatobiliary Pancreat. Sci. 2022, 30, 551–557. [Google Scholar] [CrossRef] [PubMed]
- Monden, K.; Sadamori, H.; Hioki, M.; Sugioka, A. Laparoscopic anatomic segmentectomy 8 using the outer-Laennec approach. Surg. Oncol. 2020, 35, 299–300. [Google Scholar] [CrossRef] [PubMed]
- Kumon, M.; Kumon, T.; Tsutsui, E.; Ebashi, C.; Namikawa, T.; Ito, K.; Sakamoto, Y. Definition of the caudate lobe of the liver based on portal segmentation. Glob. Health Med. 2020, 2, 328–336. [Google Scholar] [CrossRef]
- Kumon, M. Anatomical study of the caudate lobe with special reference to portal venous and biliary branches using corrosion liver casts and clinical application. Liver Cancer 2017, 6, 161–170. [Google Scholar] [CrossRef] [PubMed]
- Maki, H.; Sakamoto, Y.; Kawaguchi, Y.; Akamatsu, N.; Kaneko, J.; Arita, J.; Hasegawa, K.; Kokudo, N. Anatomical boundary between the caudate lobe of the liver and adjacent segments based on three-dimensional analysis for precise resections. J. Gastrointest. Surg. 2018, 22, 1709–1714. [Google Scholar] [CrossRef]
- Cho, A.; Okazumi, S.; Miyazawa, Y.; Makino, H.; Miura, F.; Ohira, G.; Yoshinaga, Y.; Tohma, T.; Kudo, H.; Matsubara, K.; et al. Proposal for a reclassification of liver based anatomy on portal ramifications. Am. J. Surg. 2005, 189, 195–199. [Google Scholar] [CrossRef]
- Cho, A.; Okazumi, S.; Makino, H.; Miura, F.; Ohira, G.; Yoshinaga, Y.; Toma, T.; Kudo, H.; Matsubara, K.; Ryu, M.; et al. Relation between hepatic and portal veins in the right paramedian sector: Proposal for anatomical reclassification of the liver. World J. Surg. 2004, 28, 8–12. [Google Scholar] [CrossRef]
- Cho, A.; Okazumi, S.; Makino, H.; Miura, F.; Shuto, K.; Mochiduki, R.; Tohma, T.; Kudo, H.; Matsubara, K.; Gunji, H.; et al. Anterior fissure of the right liver—The third door of the liver. J. Hepatobiliary Pancreat. Surg. 2004, 11, 390–396. [Google Scholar] [CrossRef]
- Taniai, N.; Machida, T.; Yoshida, H.; Yoshioka, M.; Kawano, Y.; Shimizu, T.; Aoki, Y. Role of the anterior fissure vein in ventral or dorsal resection at Segment 8 of liver. Eur. J. Surg. Oncol. 2018, 44, 664–669. [Google Scholar] [CrossRef] [PubMed]
- Kobayashi, T.; Ebata, T.; Yokoyama, Y.; Igami, T.; Sugawara, G.; Mizuno, T.; Yamaguchi, J.; Nagino, M. Study on the segmentation of the right anterior sector of the liver. Surgery 2017, 161, 1536–1542. [Google Scholar] [CrossRef] [PubMed]
- Giuliante, F.; Nuzzo, G.; Ardito, F.; Vellone, M.; De Cosmo, G.; Giovannini, I. Extraparenchymal Control of Hepatic Veins During Mesohepatectomy. J. Am. Coll. Surg. 2008, 206, 496–502. [Google Scholar] [CrossRef]
- Muttillo, E.M.; Felli, E.; Cinelli, L.; Giannone, F.; Felli, E. The counterclock-clockwise approach for central hepatectomy: A useful strategy for a safe vascular control. J. Surg. Oncol. 2022, 125, 175–178. [Google Scholar] [CrossRef]
- Morimoto, M.; Monden, K.; Wakabayashi, T.; Gotohda, N.; Abe, Y.; Honda, G.; Hilal, M.A.; Aoki, T.; Asbun, H.J.; Berardi, G.; et al. Minimally invasive anatomic liver resection: Results of a survey of world experts. J. Hepatobiliary Pancreat. Sci. 2021, 29, 33–40. [Google Scholar] [CrossRef]
- Kobayashi, S.; Honda, G.; Kurata, M.; Tadano, S.; Sakamoto, K.; Okuda, Y.; Abe, K. An experimental study on the relationship among airway pressure, pneumoperitoneum pressure, and central venous pressure in pure laparoscopic hepatectomy. Ann. Surg. 2016, 263, 1159–1163. [Google Scholar] [CrossRef]
- Ban, D.; Tanabe, M.; Ito, H.; Otsuka, Y.; Nitta, H.; Abe, Y.; Hasegawa, Y.; Katagiri, T.; Takagi, C.; Itano, O.; et al. A novel difficulty scoring system for laparoscopic liver resection. J. Hepatobiliary Pancreat. Sci. 2014, 21, 745–753. [Google Scholar] [CrossRef] [PubMed]
- Berardi, G.; Igarashi, K.; Li, C.J.; Ozaki, T.; Mishima, K.; Nakajima, K.; Honda, M.; Wakabayashi, G. Parenchymal Sparing Anatomical Liver Resections With Full Laparoscopic Approach. Ann. Surg. 2019, 273, 785–791. [Google Scholar] [CrossRef]
- Berardi, G.; Wakabayashi, G.; Igarashi, K.; Ozaki, T.; Toyota, N.; Tsuchiya, A.; Nishikawa, K. Full Laparoscopic Anatomical Segment 8 Resec-tion for Hepatocellular Carcinoma Using the Glissonian Approach with Indocyanine Green Dye Fluorescence. Ann. Surg. Oncol. 2019, 26, 2577–2578. [Google Scholar] [CrossRef]
- Berardi, G.; Muttillo, E.M.; Colasanti, M.; Mariano, G.; Meniconi, R.L.; Ferretti, S.; Guglielmo, N.; Angrisani, M.; Lucarini, A.; Garofalo, E.; et al. Challenging Scenarios and Debated Indications for Laparoscopic Liver Resections for Hepatocellular Carcinoma. Cancers 2023, 15, 1493. [Google Scholar] [CrossRef] [PubMed]
Case | Surgical Procedure | AFV Confirmation in Preoperative 3D Simulation | Hepatitis Status | Child–Pugh Classification | Diagnosis | Operative Time, Min | Blood Loss, mL | Resection Status (%) | Complication | Length of Hospital Stay (Days) |
---|---|---|---|---|---|---|---|---|---|---|
1 | S8vent resection | + | HBV | A | HCC | 448 | 0 | R0 | None | 10 |
2 | S8vent resection | + | − | A | HCC | 290 | 135 | R0 | None | 5 |
3 | S8vent resection | + | − | A | CRLM | 225 | 0 | R0 | None | 5 |
4 | S8vent resection | + | − | A | HCC | 337 | 80 | R0 | None | 5 |
5 | S8vent resection | − | HBV | A | HCC | 298 | 50 | R0 | None | 9 |
6 | S8vent resection + left medial sectionectomy | + | HBV | A | HCC | 349 | 20 | R0 | None | 4 |
7 | S8vent + partial resections | + | − | A | CRLM | 340 | 100 | R0 | None | 7 |
8 | S8dor resection | + | HBV | A | HCC | 319 | 0 | R0 | None | 6 |
9 | S8dor resection | + | HCV | A | HCC | 347 | 50 | R0 | None | 7 |
10 | S8dor resection | + | − | A | HCC | 474 | 290 | R0 | None | 17 |
11 | S8dor resection | + | HCV | A | HCC | 322 | 400 | R0 | None | 8 |
12 | S8dor resection | + | HCV | A | HCC | 385 | 60 | R0 | None | 6 |
13 | S8dor resection | + | − | A | HCC | 384 | 0 | R0 | None | 6 |
14 | S8dor resection + partial resections | + | − | A | CRLM | 337 | 200 | R0 | None | 7 |
Median | 338.5 (225–474) | 55 (0–400) | 6.5 (4–17) |
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Monden, K.; Sadamori, H.; Iwasaki, T.; Hioki, M.; Takakura, N. Hepatic Vein-Guided Approach in Laparoscopic Anatomic Liver Resection of the Ventral and Dorsal Parts of Segment 8. J. Pers. Med. 2023, 13, 1007. https://doi.org/10.3390/jpm13061007
Monden K, Sadamori H, Iwasaki T, Hioki M, Takakura N. Hepatic Vein-Guided Approach in Laparoscopic Anatomic Liver Resection of the Ventral and Dorsal Parts of Segment 8. Journal of Personalized Medicine. 2023; 13(6):1007. https://doi.org/10.3390/jpm13061007
Chicago/Turabian StyleMonden, Kazuteru, Hiroshi Sadamori, Toshimitsu Iwasaki, Masayoshi Hioki, and Norihisa Takakura. 2023. "Hepatic Vein-Guided Approach in Laparoscopic Anatomic Liver Resection of the Ventral and Dorsal Parts of Segment 8" Journal of Personalized Medicine 13, no. 6: 1007. https://doi.org/10.3390/jpm13061007